Individual provider · Type 1 NPI

Johanna G. McCollum, RN BSN

Student in an Organized Health Care Education/Training Program · Medford, OR

NPI number 1376460154 Active

Practice location

1229 Dakota Ave
Medford, OR 97501-3336

Call (541) 890-6464 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376460154

Johanna G. McCollum, RN BSN's National Provider Identifier is 1376460154, issued on Jul 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Medford, OR. The record was last updated on Jul 1, 2026.